Organization Active NPI

Target Range Elementary School

  • Local Education Agency (LEA)
  • Missoula, MT
National Provider Identifier
1164552592
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
TARGET RANGE ELEMENTARY SCHOOL
Practice address
4095 South Ave W
Missoula, MT 59804-6301
Phone
(406) 549-9239
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Bill Coller
Title
Superintendent
Phone
(406) 549-9239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

Primary practice location

4095 South Ave W
Missoula, MT 59804-6301

Mailing address

4095 South Ave W
Missoula, MT 59804-6301

Other identifiers 1

IdentifierTypeStateIssuer
162773MedicaidMT

National Provider Directory

National Provider Directory

Locations

4095 South Ave W
Missoula, MT 59804
Phone (406) 361-1911

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164552592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4095 SOUTH AVE W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598046301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4095 SOUTH AVE W",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598046301",
            "telephone_number": "406-549-9239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARGET RANGE ELEMENTARY SCHOOL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLER",
        "authorized_official_first_name": "BILL",
        "authorized_official_title_or_position": "SUPERINTENDENT",
        "authorized_official_telephone_number": "406-549-9239"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162773",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missoula, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.